Klink T, Grehn F
Universitäts-Augenklinik Würzburg, Würzburg, Deutschland.
Ophthalmologe. 2009 Apr;106(4):364-7. doi: 10.1007/s00347-009-1921-5.
The frequency of bleb interventions after trabeculectomy is high. In half of the cases suture manipulation of the scleral flap is needed. Both standard and adjustable sutures are used for outflow adjustment of the scleral flap. The long-term results of both methods are equivalent. Open scleral flap revision and transconjunctival sutures are suitable for the treatment of hypotonia. Postoperative conjunctival suture removal seems to be favourable, improving both intraocular pressure and overall success rate.
小梁切除术后滤过泡干预的频率很高。在一半的病例中,需要对巩膜瓣进行缝线操作。标准缝线和可调节缝线均用于巩膜瓣的房水引流调节。两种方法的长期效果相当。开放巩膜瓣修复术和经结膜缝线术适用于低眼压的治疗。术后拆除结膜缝线似乎是有益的,可改善眼压和总体成功率。